Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived announced for the purpose of conducting a Pre-Licensing visit for a Change of Ownership (CHOW). LPA conducted the visit with Applicant/Administrator Mary ann Salvador and Administrator (Admin) Veahlou Daelto. The initial application to operate a Residential Care Facility for the Elderly (RCFE) was received by the Department of Social Services on April 22, 2024 for age ranges 60 and over, for (6) non-ambulatory residents in bedrooms 1-6 of which (1) may be bedridden in bedroom 2 only.

LPA began the tour of the interior and exterior portion of the facility with Caregiver Aira Seleky. Applicant and Administrators arrived approximately 8:00am. The following was observed:

The facility is a two story property in a residential neighborhood. The first floor is comprised of six resident bedrooms and two resident full bathrooms. The second level is not accessible to the residents and is used as a living quarter for relatives of the property owner. The first level is comprised of a formal living room, dining area, kitchen, and an attached two car garage which doubles as a laundry room, and there is a private staff room within the garage. The second level has four bedrooms, one full bathroom, kitchen, dining area, and an office. The backyard has one exit gate, and has sufficient shaded seating area. LPA did not observe any obstacles or hazards in the backyard.

Facility landline number is (949) 446-6718.

The facility utilizes a signal system where staff is alerted from a central location located from the desk next to Room #6.